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TDD/Deaf and Hard of Hearing Sensitivity

for 911 and EMS dispatchers
by

Melissa Bell

on 25 October 2013

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Transcript of TDD/Deaf and Hard of Hearing Sensitivity

Deaf and Hard of Hearing Sensitivity Training
for 9-1-1 Personnel
Presented by:
Melissa Bell, Deafness Resource Specialist
CSD of Texas
Prepared by the
Office for Deaf and Hard of Hearing Services (DHHS)
of the Texas Department of Assistive and Rehabilitative Services (DARS)
True, False, or It Depends?
Demographics
Growing Population of Users
Entities with 15 or more employees

Includes 911 employees who have a disability
Deaf Culture
Technology!
Relay
Wrap Up
Summary

Questions

Evaluations
6.5% are
Hard of Hearing or
Late Deafened
2.3% are members
of the
Deaf Community
8.8% of the
general population
has hearing loss
Aging population
Noise pollution
Illness and Injury
Life Expectancy
Fastest Growing Disability Group
V Miscellaneous
The entities you work for must be accessible to persons who are deaf or hard of hearing.

Title II, Section 35.162
telephone emergency services shall provide direct access to individuals who use TTYs....
Each state must have a relay service for TTY users.
ADA
I Employment
II State and local government
III Public Accommodations
IV Telecommunications
Americans With Disabilities Act
911 cannot retaliate against an employee or individual who files an ADA complaint against them.
*passed in 1990
Businesses open to the public
must be accessible to persons
who are deaf or hard of
hearing.
Deaf
Late Deafened
Hard of Hearing
Presbycusis
Leading
Indicators to
English Proficiency
for Persons who are Deaf

English
Proficiency
Parent
Involvement
Age of
Onset
Age of
Identification
Severity
of Loss
Initiation of
Amplification
Intervention
Initiation of
Educational
Intervention
Level of
Intelligence
The bandage was wound around the wound.
It might be hard to learn English if you don't hear it.
The farm was used to produce produce.
They were too close to the door to close it.
After a number of injections my jaw finally got number.
Practice!
Vocabulary Modification
Match your caller's English proficiency
Do you know any signs or gestures?
Practice fingerspelling your name.
The Manual Alphabet
cry
write
hot
cold
baseball
swimming
baby
drink
eat
no
yes
bowling
Avoid yelling and over-emphasizing
Slow down
Hard of Hearing or Oral Deaf
This distorts your words, making it difficult for those who are trying to lip-read
Don't repeat the same statement over and over
Rephrase the statement or use more words
If you must spell, say:
"B" as in Baseball, "P" as in Paul
Separate numbers that sound similar
For example: 50 and 15 sound alike. Say "five-zero" and "one-five"
Be patient, positive, and relaxed
Communicating wtih
Individuals who are...
Deaf
Culture
Identity
Pride
Folklore
Deaf Parents/
Families
Residential
Schools
Emotional
Support
Cultural Behaviors
Deaf vs. Hearing
Flickering lights or
stomping on the floor
Calling, "Hey"
Staying in the kitchen where
there is more lighting
The living room/
darker patio
Long intros
with questions
"Nice to meet you"
Considered rude
Considered necessary
Getting
Attention
At a Party
Introductions
Pointing
1904
1927
1963
Early
1970s
Mid-Late
70s
1980s-
1990s
Who invented the telephone,
and why?
He was trying to help his wife, who was deaf, obtain a better life through an electronic amplification device.

In 1876, his creativity resulted in something she and millions of individuals who were deaf or hard of hearing could not use for almost 100 years.
Alexander Graham Bell
Teletypewriters
Persons who are...
Deaf, pre-lingually
Deaf, post-lingually
Deafened as an adult
Speech-impaired
Others???
TTY Users
TTY-Related Words & Definitions
Telephone relay service allowing persons who have a TTY to call persons who do not and vice-versa
The ability to directly receive a call without third-party services
Code used by TTYs
American Standard Code of Information Interchange
Code used by computers and fax machines
Relay
Service
ASCII
Baudot
Direct
Access
Types of TTYs
Acoustic
Direct Connect
Acoustic/Direct Connect
Telephone receiver must rest
in TTY coupler
Telephone line plugs into TTY. Separate phone is not needed. Dial from keyboard.
Some have either/or
capabilities
What's
That
Sound?
Telephone
History
6. Deaf people wish they could hear.

7. Hearing aids are not covered under most insurance.

8. People who have hearing loss can lip read.

9. American Sign Language (ASL) has the same rules of order,
grammar or syntax as English.

10. Shouting and strongly emphasizing mouth movements
are helpful when talking to a person with hearing loss.
The soldier decided to desert his dessert in the desert.
Summary so far...
Break
15 mins

Famous Quotes
It’s better to be a well-adjusted deaf man than a poor imitation of a hearing one.
~ Rudolph Pinter
Ears aren’t important.
It’s what’s between them that counts.
~ Fred Schreiber
Deaf people can do anything except hear.
~ I. King Jordan
Mock Calls
Communication
Independence
Safety
Phones
TTY
Captioned Phone
Amplified Phone
Mobile Phones
Videophone
Texting
Email
Instant Messaging
Voice
Captioned Calls
Videophone
Aids and Assistive Listening Devices
Notification Devices
Low Tech
Types of TTY calls
Traditional
VCO
(Voice Carry Over)
HCO
(Hearing Carry Over)
TTY, VCO, or HCO
via
Relay
Service
TTY to TTY
User has intelligible speech and prefers to speak instead of type to you
faster than traditional TTY call
popular with persons who are late-deafened and hard of hearing
Users are speech-impaired
(cerebral palsy, stroke victims, etc.)
faster than traditional TTY call
they listen to your voice and they type to you.
Traditional
VCO
HCO
Is this a TTY/TDD Call??
Electronic Tones
Silence
Relay Agent
does not sound like a FAX but is often confused and hung-up on or transferred to FAX machine
older machines and older users may not "key in" to alert you the call is from a TTY. Activate the TTY function, send a greeting, and wait a few seconds before hanging up.
no need to activate the
TTY feature
Common TTY Abbreviations
GA - Go Ahead
SK - Stop Keying
GA to SK - "I'm ready to hang up, are you?"
SKSK - hanging up
Q - Question
xxx - error
Others common to text messaging:
HD (hold), Pls (please), R (are), U (you), etc.
Relay protocol
Relay protocol
Immediately verify address and phone number with the caller
Do handle the call just as you would any other
Don't solicit opinion or comment from the interpreter or communication assistant
Speak in "first-person" language
Types of Relay
Types of Relay
TTY
TTY
Also called...
TDD - Telecommunication Device for the Deaf
Also called...
TDD - Telecommunication Device for the Deaf
VRS
Video Relay Service
IP
Caption
Internet Protocol
Captioned Relay
The address that appears on your screen may or may not be your caller's correct address, or they may be mobile!
Remember HCO - Hearing Carry Over
Caller can hear
but not speak clearly
and may use a TTY to
dial 911 directly or through relay.
Remember, you are talking to an interpreter or communication assistant somewhere else in the country.
Communication is much more smooth and quick because your caller is
using their primary language (ASL) to communicate through a
sign language interpreter. No need to use GA, SK, etc.

Service is Internet-based, so ANI/ALI may not be present or reliable if
your caller is not in compliance with FCC regulations.
Caller is using a computer or mobile phone through
Instant Messaging, software, or app

Internet-based, so the ANI/ALI may not be present or reliable
There are also apps like ClearCaptions
that caption conversations on mobile phones!
When a CapTel phone dials 911, it automatically becomes a VCO phone and bypasses the CapTel relay center. You will handle this as a VCO call: listening to what your caller is saying, and typing back to them.
CaptionCall 911 calls are handled through their relay service, though you may not realize you're talking through a third party.
Try an IP Relay and VRS mock call!
TTY-ASL Translations
Try these....
mom eat pills wake no
knife cut arm blood blood
bad man hurt head me
fire house near lake baby inside
bridge old here friend hole fall stuck him
head hot weak me sick pls help
Ask one question
at a time
Adjust your language to
match your caller's English
proficiency
Use abbreviations
Remember:
1. Hearing aids correct hearing like eyeglasses correct vision.
2. Sign language is a universal language.
3. Most parents of deaf children known sign language.
4. Deaf people don't speak like hearing people because
their vocal chords are deformed.
5. Most deaf people can read Braille.
IP Relay
2000
Videophone
2002
CapTel
2003
Amplifiers
mid-70s
Full transcript